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Three years later, Inflation Reduction Act blamed for higher Medicare costs | National

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www.thecentersquare.com – Tom Joyce – (The Center Square – ) 2025-08-18 09:51:00


The third anniversary of the Inflation Reduction Act (IRA), signed in 2022, reveals growing criticisms. While aimed at lowering prescription drug costs for seniors, insurers report rising Medicare Part D premiums and increased costs for Medicare Advantage plans. The law shifted drug costs onto insurers but led to higher taxpayer subsidies—$7 billion last year and $25 billion this year—to prevent premium hikes. Supplemental benefits have become underused “Ghost Benefits,” with only a small portion spent on dental, vision, and hearing. Analysts and reports indicate the IRA has resulted in fewer coverage options, higher premiums, and more taxpayer expenses without effectively controlling drug costs.

(The Center Square) – This past weekend marked the third anniversary of the Inflation Reduction Act, signed into law by former President Joe Biden in 2022.

While the law was promoted as a way to lower prescription drug costs for seniors, insurers and policy analysts say it is driving up prices.

CVS Health Corporation CFO Thomas Cowhey told investors that both traditional Medicare and Medicare Advantage beneficiaries would see “much, much higher prices for that Part D benefit.”

Critics say the law adds billions of dollars in new costs for Medicare Advantage plans while limiting their ability to control expenses. Some benefits have become what analysts call “Ghost Benefits.” These are taxpayer-funded supplemental perks that look good on paper but are underused.

A 2024 JAMA Network Open study found that of the $86 billion in annual taxpayer-funded supplemental Medicare Advantage benefits, only $3.9 billion went toward dental, vision and hearing coverage.

Analysts say the IRA’s attempt to push prescription drug costs onto insurers isn’t working.

Notably, Dr. Tomas Phillipson told Fox Business News that premiums were “skyrocketing” due to the Inflation Reduction Act.

MarketWatch’s Brett Arends wrote last year that “The latest price surges follow the passage in 2022 of the Inflation Reduction Act, which capped drug costs for Medicare beneficiaries and transferred costs to the insurance companies. The insurers […] are inevitably trying to recoup some of those costs through higher premiums.”

The Better Medicare Alliance reported that from 2024 to 2025, the average out-of-pocket maximum in Medicare Advantage increased by 8%. Vision, hearing and dental benefits remain mostly the same. However, plans offering meals, nutrition services, transportation and over-the-counter benefits will decrease, according to its analysis. The group also projected that 31 states will see fewer individual plan options next year.

One problem is that the law also shifted catastrophic drug costs to insurers and imposed a $2,000 out-of-pocket cap without offsetting subsidies. Critics say this has contributed to federal bailouts for plans, including $7 billion last year to prevent premium hikes in an election year and a $25 billion rate increase this year.

The Paragon Health Institute says the law has led to “a significant increase in the subsidies that taxpayers pay to insurance companies” while leaving seniors with “fewer coverage options.”

“The goal of the IRA was to shift costs away from the Medicare program and its beneficiaries onto Part D plans,” the Paragon Health Institute’s analysis said. “But the result has been a significant increase in the subsidies that taxpayers pay to insurance companies. Even with the temporary reprieve from higher drug premiums, this policy has left seniors with fewer coverage options. The old adage about free lunches holds true: shifting costs elsewhere does not eliminate them – and in this case, it increased them.”

The post Three years later, Inflation Reduction Act blamed for higher Medicare costs | National appeared first on www.thecentersquare.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Right-Leaning

The article frames the Inflation Reduction Act almost exclusively through the lens of its critics, highlighting increased costs, higher premiums, and reduced benefits while omitting supportive perspectives or potential positive impacts of the law. Sources cited, such as Fox Business News, the Paragon Health Institute, and the Better Medicare Alliance, lean toward fiscal conservatism and skepticism of government regulation. While the reporting includes references to studies and corporate statements, the overall narrative emphasizes failure and unintended consequences, aligning with a critical, right-leaning stance toward Biden-era policy.

News from the South - North Carolina News Feed

Erin: Evacuations ordered in North Carolina | North Carolina

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www.thecentersquare.com – By Alan Wooten | The Center Square – (The Center Square – ) 2025-08-18 08:01:00


Hurricane Erin, which rapidly intensified from Category 1 to Category 5 over the weekend with winds near 160 mph, weakened slightly to Category 4 on Monday while remaining offshore. At 8 a.m., it was about 115 miles north-northeast of Grand Turk and 890 miles south-southeast of Cape Hatteras, moving northwest at 13 mph. Dare County declared an emergency, ordering evacuations for Hatteras Island and the Outer Banks, where NC 12 is at risk of flooding and damage. While Erin is expected to miss U.S. landfall, North Carolina’s coast remains within its wind field amid ongoing recovery from Hurricane Helene.

(The Center Square) – Erin, once a Category 5 hurricane over the weekend that more than doubled wind speed to nearly 160 mph, on Monday morning remained on a path to miss landfall of the United States though not without forcing evacuations in North Carolina.

At 8 a.m., the Category 4 hurricane was just east of the southeastern Bahamas, the National Weather Center said, about 115 miles north-northeast of the Grand Turk Islands, and about 890 miles south-southeast of Cape Hatteras. Erin was moving northwest at 13 mph, forecast to be going north by Wednesday morning while parallel to the Florida panhandle.

Erin had 75 mph maximum winds Friday at 11 a.m., a Category 1, and 24 hours later was near 160 mph and Category 5. It has since gone to a Category 3 before gaining more intensity.

On the Saffir-Simpson Hurricane Wind Scale, Category 1 is 74-95 mph, Category 2 is 96-110, Category 3 is major and 111-129 mph, Category 4 is 130-156 mph, and Category 5 is greater than 157 mph. While the most-often characterization of Atlantic basin cyclones, the scale is without context on storm surge – a key factor in damage at landfall.

Dare County on Sunday declared an emergency with evacuations ordered for Hatteras Island and the Outer Banks. N.C. 12, the famed 148-mile roadway linking peninsulas and islands of the Outer Banks, is likely to go under water and parts could wash away – as often happens with hurricanes.

NC12 begins at U.S. 70 at the community of Sea Level and runs to a point just north of Corolla and south of the Currituck Banks North Carolina National Estuarine Research Reserve. Two ferries, Hatteras Island to Ocracoke Island and Cedar Island to Ocracoke Island, are part of the route.

Nearly all of North Carolina’s 301-mile coastline is within the outer wind field projection from the National Oceanic and Atmospheric Administration’s National Hurricane Center. The greatest speed, however, is 20 mph.

Erin’s rapid intensity is among the greatest on record, and particularly so for prior to Sept. 1. Hurricane force winds (74 mph) extend 60 miles from its center.

By midnight Thursday into Friday, the storm is expected to be past a point parallel to the Virginia-North Carolina border and gaining speed away from the coast.

The storm’s miss of the state is particularly welcome in light of Hurricane Helene. Recovery from that storm is in its 47th week. Helene killed 107 in the state, 236 across seven states in the South, and caused an estimated $60 billion in damage to North Carolina.

The post Erin: Evacuations ordered in North Carolina | North Carolina appeared first on www.thecentersquare.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

The content provided is a straightforward news report on Hurricane Erin, focusing on meteorological facts, evacuation orders, and recent hurricane impacts in North Carolina. It presents detailed information about the storm’s strength, projected path, and historical context without expressing any opinion or advocating for a particular political viewpoint. The language is neutral and factual, offering updates from official sources and avoiding ideological framing. Thus, it reports on the situation without contributing any discernible political bias or ideological stance.

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News from the South - Florida News Feed

Federal judge puts restraining order on ‘Alligator Alcatraz’ construction | Florida

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www.thecentersquare.com – By Steve Wilson | The Center Square – (The Center Square – ) 2025-08-07 16:07:00


A federal judge in Miami issued a temporary restraining order halting construction of Florida’s migrant detention facility, “Alligator Alcatraz,” due to potential environmental harm. The site, located on the former Dade-Collier Training and Transition Airport near the Everglades, can still operate and accept migrants. Florida Governor DeSantis confirmed ongoing operations and deportations, with 600 migrants processed so far. The lawsuit, filed by environmental groups and the Miccosukee Tribe, alleges violations of environmental laws, citing the facility’s rapid development and infrastructure causing ecological damage. The airport site was originally intended for Miami’s airport before construction stopped in 1970.

(The Center Square) — A federal judge in Miami imposed a temporary restraining order on Thursday on construction of the migrant detention facility dubbed by Florida officials as “Alligator Alcatraz.”

U.S. District Judge Kathleen Williams, a President Barack Obama appointee, issued the restraining order, which stops any construction at the site, but allows it to continue to accept migrants.

The reasoning was possible environmental damage from the site, which is built on the site of the Dade-Collier Training and Transition Airport.

Florida Gov. DeSantis said on X that “Operations at Alligator Alcatraz are ongoing and deportations are continuing.”

He also said on Aug. 1 that 600 migrants have been processed through the facility, which has drawn protests from human rights groups and Democrats concerned over rights violations and poor treatment of detainees at the facility. 

U.S. Homeland Security Secretary Kristi Noem is named in the lawsuit filed by two environmental groups, the Friends of the Everglades and the Center For Biological Diversity, along with the Miccosukee Tribe. The lawsuit says the facility is in violation of National Environmental Protection Act and the Administrative Procedure Act because no environmental impact statement was sought for the facility.

“The hasty transformation of the site into a mass detention facility, which includes the installation of housing units, construction of sanitation and food services systems, industrial high-intensity lighting infrastructure, diesel power generators, substantial fill material altering the natural terrain, and provision of transportation logistics (including apparent planned use of the runway to receive and deport detainees) poses clear environmental impacts,” the complaint reads. 

The 30-square mile airport owned by Miami-Dade County is located roughly 60 miles east of Miami near the Everglades National Park. Its 10,000-foot-long asphalt runway was used for military training exercises and was intended to be part of Miami’s new airport before a public outcry halted construction in 1970.

The post Federal judge puts restraining order on ‘Alligator Alcatraz’ construction | Florida appeared first on www.thecentersquare.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Centrist

The article reports on the facts surrounding the temporary restraining order against construction at the “Alligator Alcatraz” migrant detention facility. It primarily presents information from multiple perspectives: the federal judge’s legal reasoning, statements by Florida Governor DeSantis, the concerns of human rights groups and Democrats, and the lawsuit from environmental groups and the Miccosukee Tribe. The language remains neutral and factual, avoiding emotionally charged terms or partisan framing. The article does not promote a particular ideological stance but rather conveys the contentious positions of various stakeholders, adhering to objective reporting rather than advocacy or bias.

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News from the South - North Carolina News Feed

Overrides: History says chances higher on school choice than freedom to carry | North Carolina

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www.thecentersquare.com – By Alan Wooten | The Center Square – (The Center Square – ) 2025-08-17 08:01:00


North Carolina’s Legislature faces challenges overriding several gubernatorial vetoes, including a proposed $1,700 tax credit for schoolchildren and permitless concealed carry. While eight vetoes were overridden on July 29, including immigration and firearms measures, others tied to diversity policies and gun laws remain contentious. Bipartisan support helped override some bills, notably the Educational Choice for Children Act, but permitless carry lacks Democratic backing and faces Republican absences. Diversity-related bills saw no Democratic support and mixed Republican attendance. Overrides require three-fifths majorities in both chambers, with vote shifts common. Legislative leaders aim to time override efforts strategically amid ongoing political dynamics.

(The Center Square) – Establishing a tax credit program of up to $1,700 in 2027 for North Carolina school children has a historical pathway to overcoming gubernatorial veto, according to pattern analysis by The Center Square.

No permits for concealed carry, however, is quite a bit more challenging.

Outside of the fatigued question on the Legislature putting forth a full two-year spending plan, those two vetoes and three others tied to diversity policies are creating the main storylines for the Legislature’s return next week. The pre-Labor Day session has no guarantees of movement on any; rather, all will depend on chamber leaders having members present and their votes known as to what opportunities will be taken.

Senate President Pro Tempore Phil Berger, R-Rockingham, and Speaker Destin Hall, R-Caldwell, in the House of Representatives have pledged to get the timing right, whether next week or later.

Eight vetoes were overridden into law by both chambers on July 29. They included measures on immigration, what was known as the REINS Act, environmental goals, powers of the state auditor, clarifying men and women, donor privacy, and firearms.

Senators completed the override on four more – two related to diversity policy, one on permitless concealed carry and another on immigration. If the House can get the override for a third diversity bill that originated in its chamber, the Senate is expected to follow suit.

The other two vetoes involve a squatters bill that went an alternative route to first-term Democratic Gov. Josh Stein’s signature, and the federal school choice initiative championed by second-term Republican President Donald Trump.

Plenty of attention was rightly thrust upon the four Democrats in the House of Representatives helping move the Grand Old Party agenda this summer. Reps. Shelly Willingham of Edgecombe County six times and Carla Cunningham of Mecklenburg County five times were most instrumental. Twice each, Reps. Cecil Brockman of Guilford County and Nasif Majeed of Mecklenburg County were on board to get the chamber’s overrides to 72 votes or higher.

For each of the eight vetoes that got an override, at least one Democrat in the House had voted for the measure at passage. Only once – Brockman on donors – did a yes vote switch to no. And once – Rep. Ben Moss, R-Richmond, on the power bill – a Republican changed a no vote to yes at override.

That would bode well for the push – Educational Choice for Children Act (House Bill 87) – to make North Carolina the first in the nation codifying the signature education initiative of the president. Cunningham and Willingham were each on board, though Republicans had three excused and another – Rep. Neal Jackson, R-Moore – choosing not to vote.

It doesn’t bode well for becoming the 30th state to be without permit for concealed carry.

Freedom to Carry NC, known also as Senate Bill 50, not only had no Democrats in the House at passage, but it also has Republican Reps. William Brisson of Bladen County and Ted Davis Jr. of New Hanover County with no votes at passage. Ten other Republicans took excused absences, including notably Rules Chairman John Bell of Wayne County, Rep. Tricia Cotham of Mecklenburg County and Rep. Allen Chesser of Nash County.

The North Carolina Border Protection Act, known also as Senate Bill 153, was straight party line. The 11 excused absences among Republicans included notables Cotham and Rep. Erin Pare, R-Wake.

For the package of bills on diversity, equity and inclusion, the proposals would respectively take them out of state agencies, K-12 education, and higher education. None drew a Democrat’s vote in either chamber.

On the Republican side, Reps. Jackson, John Blust of Guilford County, Brenden Jones of Columbus County and John Sauls of Lee County had excused absences for all three votes; Hall and Rep. Edwin Goodwin of Chowan County chose not to vote on the higher ed bill; and Rep. Mike Clampitt of Swain County chose not to vote on the state agencies bill.

Six other Republicans also had excused absences mixed among the three votes.

Three-fifths majorities are needed in each chamber to get an override, both chambers must accomplish it, and there’s only one override vote per bill. Republicans have majorities of 30-20 in the Senate and 71-49 in the House.

And votes at passage are not guaranteed through veto override. Never was that clearer than the 2023-24 session when a bill related to evictions sailed through the chambers 44-0 and 113-1, only to be vetoed by former Democratic Gov. Roy Cooper. It became law on the strength of override votes of 27-17 and 72-44.

Already on the eight overrides this session, six senators and 12 House members have changed votes at least once from yes at passage to no at override. Respective chamber leaders at three each are Sen. Dan Blue, D-Wake, and Rep. Charles Smith, D-Cumberland. One senator and four House members have already made such changes twice each.

In the 2023-24 session, all 29 vetoes by Cooper were overridden amid 19 senators and 34 House members changing votes at least once between passage and override.

The post Overrides: History says chances higher on school choice than freedom to carry | North Carolina appeared first on www.thecentersquare.com



Note: The following A.I. based commentary is not part of the original article, reproduced above, but is offered in the hopes that it will promote greater media literacy and critical thinking, by making any potential bias more visible to the reader –Staff Editor.

Political Bias Rating: Center-Right

The article predominantly reports on legislative actions and veto override efforts in North Carolina with an emphasis on bills favored by Republican lawmakers, such as tax credits for school children, permitless concealed carry, border protection, and anti-diversity policies. While it maintains a largely factual tone, the selection and framing of issues—highlighting GOP achievements and describing Democratic opposition without similar context—suggests a subtle center-right leaning. The language is generally neutral but implicitly supports the Republican legislative agenda by focusing attention on successful overrides and the challenges Democrats face, rather than critically examining the content or broader implications of the policies. Overall, the piece reports on political events and positions but does so through a lens sympathetic to conservative priorities.

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